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This partnership offers clients an integrated and seamless process, providing as much control as is desired. Clients have the option to proceed with any or all components of this offering. Predictive Analytics Technology is utilized to segment the claim block into three categories: Settlements – Claimants who are not too old, not too sick, and maybe […]

In our experience, many insurers are engaged in either consuming or producing predictive analytics in an attempt to produce better returns. These insurers have a strong point of view about build-versus-buy and have addressed the questions introduced in this article. The only question that remains is whether it is working. The answer is, they aren’t […]

Scary Monster Claimants The Ability to Ask a Question In the ‘old-school-of-claims-management’, we would use a device called a ‘telephone’ to call the claimant and ask them questions. I bet that an experienced claim manager would be able to assess a claimant’s motivation after about 30 seconds of conversation, asking a few pointed questions, drilling […]

Attitude Is Everything An individual’s motivation is so important when we are discussing ‘return to work’, yet in the claims management process we do not assess, measure, or quantify this factor! Typically, when we look at the claims data used to build predictive models, it’s really rather thin. The systems we use in claims management were designed […]

Every day we encounter all sorts of people, all sorts of dispositions. Some are calm, cool, and collected, and take things in their stride. Others are strung tight, reacting – and maybe over-reacting – to even small problems. Some we love to see coming, and we go out of our way to make time for […]

New and innovative advances in the medical field are always exciting, but I am particularly keen on any research that combats a diagnosis using a remedy that is very accessible to many. So when I heard NPR discussing the latest findings from the American College of Physicians on the impact of yoga on back pain, my […]

From the perspective of analysis of claim data, it helps to consider STD and LTD as one process, rather than just focus on LTD only, where the big reserves are. We need to ensure that we are not missing an opportunity to get an individual back to work as soon as possible, before ‘not working’ […]

Disability Awareness Month – Carol Harnett You go to the gym a few times per week. You eat a well balanced diet that’s even included kale in the past week. That’s why you’re more likely to be thinking about investing in a personal trainer than buying disability insurance. After all, there’s virtually no chance you’ll […]

In our last newsletter, we described how Extended Duration Claims follow the 80-20 rule; 80% of the claim reserves are stable with predictable results, and the other 20% of reserves are where opportunity lies. The problem is finding a way to identify the 20%. If you have a large number of claims in this category, it […]

White, middle class adults are killing themselves deliberately and inadvertently, quickly and slowly. How bad is a life without work? I have been asked this question a lot lately. It is becoming pretty clear that the forces of globalisation and technological progress are reshaping economies and societies, especially in advanced economies, and that these effects […]